Individual
ZACHARY P EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1064 GARDNER RD, SUITE #110, CHARLESTON, SC 29407-5768
(843) 556-8778
(843) 556-7003
Mailing address
1064 GARDNER RD, SUITE #110, CHARLESTON, SC 29407-5768
(843) 556-8778
(843) 556-7003
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8383
SC
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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